Lakeside Rehabilitation And Care Center
Inspection Findings
F-Tag F0604
F 0604 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
device. The ADM stated the chest harness was made specifically for Resident #1's chair and it was his understanding that the chest harness was not a restraint. The ADM stated Resident #1 would fall if he did not have the chest harness due to Resident #1's spasticity (when muscles become abnormally stiff and tight, leading to involuntary muscle spasms, jerking, and difficulty with movement). Attempted phone
interview on 10/09/25 at 5:20 PM with the physician for Resident #1 revealed no answer. During an
interview on 10/09/25 at 5:25 PM, the DON stated all of the nursing staff were responsible for ensuring residents had a physician order for a position changing device. The DON stated he was ultimately responsible if a resident had a restraint. The DON stated Resident #1 did not have a restraint, he had a position changing device. The DON stated if a resident had any type of restraint, it would need a risk assessment, consent and physician order. The DON stated the residents would also need physician orders to check placement and the skin around the restraint. The DON stated Resident #1 would fall if the chest harness was not used for him. During an interview on 10/09/25 at 5:37 PM, the ADM stated he was ultimately responsible for ensuring residents had a physician order, consent and assessment for any restraint used. The ADM stated the facility did not consider the chest harness for Resident #1 to be a restraint. The ADM stated Resident #1 used the chest harness as a position changing device. The ADM stated a potential negative outcome to the residents if they did not have a physician order for a restraint was a risk of being physically harmed because it was a device. Record review of the facility's policy titled, Use of Restraints with a revised date of April 2017, reflected the following: Policy Statement: Restraints shall only be used for the safety and well-being of the resident(s) and only after other alternatives have been tried unsuccessfully. Restraints shall only be used to treat the resident's medical symptom(s) and never for discipline or staff convenience, or for the prevention of falls. When the use of restraints is indicated, the least restrictive alternative will be used for the least amount of time necessary, and the ongoing re-evaluation for the need for restraints will be documented. Policy Interpretation and Implementation:1. Physical Restraints are defined as any manual method or physical mechanical device, material, or equipment attached or adjacent to the resident's body that the individual cannot remove easily, which restricts freedom of movement or restricts normal access to one's body. 2. The definition of a restraint is based on the functional status of the resident and not the device. If the resident cannot remove a device
in the same manner in which the staff applied it given that resident's physical condition , and this restricts his/her typical ability to change position or place, that device is considered a restraint.9. Restraints shall only be used upon the written order of a physician and after obtaining consent from the resident and/or representative (sponsor). The order shall include the following:a. The specific reason for the restraint (as it relates to the resident's medical symptoms);b. How the restraint will be used to benefit the resident's medical symptom; andc. The type of restraint, and period of time for the use of the restraint.
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LAKESIDE REHABILITATION AND CARE CENTER in LUBBOCK, TX inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in LUBBOCK, TX, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LAKESIDE REHABILITATION AND CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.